Medway Developer Contributions and Obligations Guide

13.1 Background

13.1.1 NHS Kent and Medway Integrated Care Board (ICB) is the statutory NHS organisation that plans and buys healthcare services to meet the needs of 1.9million people living in Kent and Medway. Comment

13.1.2 The ICB has responsibility to ensure health services, and all future proposed developments are sustainable from a revenue affordability, capital investment and workforce perspective. Wherever possible, the ICB should maximise the delivery of care close to where people live, and that existing and neighbouring residents’ access to NHS health and care services is not disadvantaged by new developments. It is essential to deliver care in a way that makes best use of resources, including physical infrastructure. Comment

13.1.3 The ICB holds responsibility for NHS strategic planning and allocation decisions for healthcare services. It is also responsible for bringing partner organisations and partners at a system and place level together in a collaborative way to improve health and care outcomes, putting patients at the centre of healthcare delivery. This includes working with voluntary, community and social enterprise colleagues, alongside upper and lower tier councils to explore greater opportunities to use our collective estates as an enabler to deliver high quality care and support in fit-for-purpose facilities that improve the experience for residents. Comment

13.1.4 The ICB may seek financial contributions and/or facilities/land from developments to mitigate the impact of growth on infrastructure and services including, but not limited to: Comment

• Primary Care – GP surgeries
• Acute (Secondary) Care - hospitals
• Community Health Care

13.1.5 The ICB uses specific models to calculate the likely population numbers generated by any given development. Information will be required regarding the total number of dwellings, housing mix proposed and phasing. The ICB will seek proportionate obligations based on the infrastructure needed to mitigate a development’s specific health and care impact. Comment

13.1.6 Unless otherwise stated, no distinction will be made between: Comment

• ‘Open Market’ and ‘Affordable Housing’
• Caravan parks and similar forms of accommodation that are occupied for 12 months of the year as permanent residences
• Flats and houses
• C2 dwellings
• Age restricted dwellings (over 55s)

Level of Contributions required

The Kent and Medway ICB will request contributions on a case by case basis towards health facilities as set out in their developer contributions guide. Comment

Table 7: Comment